Organization
PROFESSIONAL RADIOLOGY SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E NIXON MD (PRESIDENT)
(620) 225-1033
Entity
Organization
Contact information
Practice address
2004 1ST AVE STE A, DODGE CITY, KS 67801-2697
(620) 225-1033
(620) 227-8491
Mailing address
2004 1ST AVE STE A, DODGE CITY, KS 67801-2697
(620) 225-1033
(620) 227-8491
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS8790
MEDICARE RAILROAD
KS
Enumeration date
08/31/2006
Last updated
12/13/2007
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